Library index

Every page on the site, grouped by section and listed in reading order. Sections build from anatomy towards the things that go wrong, so reading a section from the top usually makes the later pages easier.

Pelvic floor

• Section overviewWhat the pelvic floor does and why it is worth understanding before training it.
• How the pelvic floor is builtThe muscle layers, the three openings that pass through them, and the nerve supply.
• Pelvic floor exercisesFinding the right contraction, holding it correctly, and the mistakes that make training useless.
• An overactive pelvic floorWhen the problem is a muscle that will not let go, and why squeezing harder makes it worse.
• The pelvic floor after childbirthNormal recovery, what a tear or an assisted birth changes, and when to ask for a referral.
• Pelvic organ prolapseWhat a prolapse is, how common it is, the symptoms that matter and the treatments available.
• Pelvic health physiotherapyWhat an assessment involves, what treatment looks like, and how to get referred.

Menopause

• Section overviewThe transition itself and the changes that continue long after periods stop.
• PerimenopauseThe years of fluctuating hormones before the last period, and why it is easy to miss.
• Genitourinary syndrome of menopauseThe vulval, vaginal and urinary changes that follow falling oestrogen, and how they are treated.
• Vaginal drynessWhy tissue becomes dry, the difference between a moisturiser and a lubricant, and what a clinician can add.
• Sex after menopauseWhat genuinely changes, what does not, and the adjustments that make the difference.

Sexual health

• Section overviewDesire, pain and function, covered without euphemism.
• Low libidoResponsive desire, the common medical and situational causes, and what actually helps.
• Painful sexWorking out where the pain is, what the likely causes are, and what an examination looks for.
• VaginismusInvoluntary muscle guarding, why it is not imagined, and how treatment is structured.
• Difficulty reaching orgasmWhat is typical, what interferes, and the things worth changing first.
• Contraception: an overviewThe main categories, how they differ in practice, and the questions to ask.
• Testing for sexually transmitted infectionsWhat is tested for, how samples are taken, timing, and what results mean.

Conditions

• Section overviewFour conditions that are common, frequently missed and often badly explained.
• EndometriosisWhat it is, the delay in diagnosis, how it is investigated and how it is managed.
• Lichen sclerosusA long term vulval skin condition that needs treatment and monitoring rather than tolerance.
• VulvodyniaPersistent vulval pain without a visible cause, and the treatments with the best support.
• Thrush and bacterial vaginosisTwo very different conditions that are constantly confused, and how to tell them apart.

Intimate care

• Section overviewEveryday care of the vulva, and the habits that cause more trouble than they solve.
• Vulval hygieneWhat washing should involve, what to leave alone, and which products cause irritation.
• The vaginal microbiomeWhat lives there, what disturbs it, and what the evidence says about supplements.
• Period productsAbsorbency, safety, comfort and the practical differences between the options.

Life stages

• Section overviewHow sexual and pelvic health shifts across decades.
• The first year after birthBleeding, healing, the six week check, returning to sex and the symptoms not to normalise.
• Sexual health in your thirtiesContraception decisions, cervical screening, fertility questions and pain that has been dismissed.
• Sexual health after fiftyGenitourinary change, screening that continues, infection risk and what postmenopausal bleeding means.

Practical pages

• Tools overviewFour pages designed to be used rather than read.
• Eight week pelvic floor programmeSets, holds, rest and progression rules, with the signs that it is working.
• Symptom finderA table mapping described symptoms to the topic page that covers them.
• Questions for your doctorGrouped question lists for four common appointment types.
• Menopause symptom recordA table to fill in on paper, with guidance on what to note and for how long.

Last reviewed: September 2026